See something, say something, right? Do something!
Our teenage youths have been in distress now and for many years past. So much talk, but so little action. I am trying to do something, and it is time-proven and with a clear plan and direction.
Reducing daily stress experienced by high school students is possible through Mindfulness-based Stress Reduction (MBSR) techniques. I believe this to be accurate, as I have practiced and taught many stress management techniques for over 40 years to adults of all ages.
The goal of my proposed intervention is to reduce the typical daily stress that teenagers experience regularly on the individual level, while in high school. Daily stress often leads to mental health ailments of anxiety, depression, impaired focus, and lack of quality sleep. The target audience for this intervention is high school students, 14-18 years of age. Promoting focusing on mental health and well-being is crucial for overall health. This will be accomplished by myself or a qualified professional guiding participants through the various stages of change within the Transtheoretical Model (TTM) to encourage the practices of mindfulness-based stress reduction (MBSR). MBSR therapy is a meditation strategy that is used to help with stress management, sleep disorders, depression, anxiety, hypertension, chronic pain, cancer, diabetes mellitus, and other disorders (Kabat-Zinn, 2013).
MBSR techniques have little risk and can increase the agency that individuals have in managing mood swings and physical pain, as well as enhancing the quality of their own lives (Niazi & Niazi, 2011). Research from recent studies supports that some college students who practiced mindfulness along with their coursework, reported cognitive and wellbeing benefits, when practicing for as little as five minutes twice a week, dependent upon the specific type of mindfulness method implemented (O’Hare & Gemelli, 2023).
The Transtheoretical Model (TTM) will be utilized with this intervention. TTM encompasses more than one health-related behavior theory, which to me seems that TTM offers a more comprehensive strategy to help individuals to better understand and manage stressors within their daily life. Within TTM there are four key constructs that are thought to produce significant behavioral changes. The constructs are:
• Stages of changes
• Decisions balance
• Self/Efficacy/Temptations
• Processes of change
The first construct of TTM suggests that there are stages of change where precontemplation, contemplation, preparation, action, and maintenance all affect human behavior. The second construct of decision balance suggests that when there are more pros than cons for a certain behavior, an individual will either move forward or backward within the stages. The third construct encourages a “can-do” attitude, where an individual may gain confidence and feel that they have more control and agency in their decisions. The fourth construct delves more into the details of experiential versus behavioral changes (Simons-Morton & Lodyga, 2021) where a person moves from the “thinking” state to a more active “doing” state of being. Overall, the TTM will help me to show participants how mindfulness-based stress reduction techniques can help students move from the “contemplation” stage to “action” by highlighting its effectiveness in stress reduction and management.
This intervention can be implemented by first contacting a local high school’s administration to explain the goals and benefits of sponsoring such an event. Once the administration agrees to support, promote, and manage the registration of students for a group setting workshop (intervention), a trained and/or qualified professional will come to the school’s auditorium after school finishes on a predetermined day. They can then present an initial 10-minute introduction of the potential goals and benefits to the students. Using a whiteboard and handwriting a few notes and health statistics from the Center for Disease Control (CDC) and the American Heart Association (AHA) will help draw their focus. My message that can be conveyed, is how as young adults, they can individually have self-efficacy over their thoughts, emotions, and relative coping mechanisms for managing stress. A major portion of this presentation will be explaining in some detail what the TTM is and how it is related to stress management. Another major component of this presentation will be an explanation of the methods and benefits of MBSR.
The professional will then ask those students interested in participating further in this intervention to answer only to themselves by signing a contract of commitment form to attend 3 10-minute sessions for a total of 8 weeks. There will be no consequence if the student decides not to continue, however, they will not receive any credit or reward upon completion if they do not attend. Sessions will be just after school ends, giving the students 5-10 minutes to get to the auditorium. Parent’s knowledge and support of their children’s participation are key components needed to reinforce their child’s commitment to accept the challenge of doing some type of task or activity that will potentially affect not only the individual but the whole family’s well-being. I would also invite and encourage parents to attend the sessions if they are available to do so.
My intervention can address the key constructs of TTM throughout the presentation. More specifically, the stages of change will need to be targeted as follows:
Precontemplation – In this stage, participants may not yet recognize a need to reduce stress or might not view it as an important priority. If they were in the room and attending my presentation, they are already past precontemplation, or else they would not have made the effort to come to the event.
Contemplation – With a goal of raising awareness of current teen health issues, I seek to motivate and inspire individuals to think more about becoming equipped to manage the impact stress has on their health and well-being, I will offer information regarding the benefits of mindfulness techniques to reduce stress, thereby affecting and improving overall health and well-being.
Preparation – In this stage I will be explaining how we will need to take action and how this group will be readied, in order to achieve a greater sense of agency over individual stress management. I will provide resources such as guided meditation apps or YouTube classes that can help support their practice.
Action – The phase of action is where participants will actively engage in MBSR exercises. Each session will review and build upon prior sessions. I will be encouraging them to practice regularly and offer other strategies to overcome potential hurdles and maintain motivation. Setting reminders on their phones and finding quiet places for meditation will help reinforce their self-practice.
Maintenance – In this phase, individuals will have successfully adopted mindfulness techniques into their daily routine and are most likely experiencing the benefits of having less stress. I can offer further strategies to help maintain their practice and prevent relapse, such as further opportunities for learning and growth through other techniques and resources. After this intervention concludes, there will be a follow-up survey one month after the event to determine if participants are still engaged in practicing the self-regulation techniques that they learned.
The construct of decision balance will be addressed and discussed at each session, as participants will be reviewing the pros and cons of returning for future sessions. If they feel that they are improving their stress management, they will be inclined and more self-motivated to continue.
The construct of self-efficacy of individuals will most likely increase as participants move through the stages of change.
For the construct of the processes of change, I would not going to go into much detail to the whole group. I feel that this construct, while important may be a bit more complex than what will already have been covered up to this point as far as human behavior is concerned. A slide will be available in the presentation, and I can offer further explanations as necessary.
The intended outcome of the intervention will be to hopefully have the participants be able to better recognize and manage stressful experiences, whether from events such as tests, time management, social interactions, and other activities that often manifest into stress.
Please contact me if you, your school, your business, your organization, or your group, might be interested in hosting me to speak on a wide spectrum of topics relative to better health, wellness, and fitness.
References:
American Heart Association: Childhood stress linked to higher risk of high blood pressure, obesity, diabetes in adults. (2024, January 17). Contify Life Science News, NA. https://link.gale.com/apps/doc/A779587760/ITBC?u=vol_vsc&sid=ebsco&xid=ed427911
CDC. (2023) The Youth Risk Behavior Survey Data Summary & Trends Report: 2011–2021, https://www.cdc.gov/healthyyouth/mental-health/index.htm
Kabat-Zinn, J. (2013) Full Catastrophe Living (Revised Edition) (pp. 77-78, 351). Random House Publishing Group. Kindle Edition.
Niazi, A. K., & Niazi, S. K. (2011). Mindfulness-based stress reduction: A non-pharmacological approach for chronic illnesses. North American Journal of Medical Sciences, 3(1), 20. https://doi.org/10.4297/najms.2011.320
O’Hare, A. J., & Gemelli, Z. T. (2023). The effects of short interventions of focused-attention vs. self-compassion mindfulness meditation on undergraduate students: Evidence from self-report, classroom performance, and ERPs. PLoS ONE, 17(1), 1–20. https://doi.org/10.1371/journal.pone.0278826
Simons-Morton, B., & Lodyga, M. (2021). Behavior theory in public health practice and research. Jones & Bartlett Learning.
I teach and offer lectures about holistic health, stress management, qigong, tai chi, baguazhang, meditation, phytotherapy (herbs), music for healing, self-massage, and Daoyin (yoga).
Please contact me if you, your business, organization, or group, might be interested in hosting me to speak on a wide spectrum of topics relative to better health, wellness, and fitness.
I look forward to further sharing more of my message by partnering with hospitals, wellness centers, VA centers, schools on all levels, businesses and individuals that see the value in building a stronger nation through building a healthier population. I also have hundreds of FREE education video classes, lectures and seminars available on my YouTube channel at:
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Jim Moltzan
407-234-0119